Tuesday, November 22, 2011

Update...

The last few weeks has been very stressful with school, work, doctor's appointments, diagnostic testing, etc. Fortunately, school will be wrapping up in the next few weeks and I will get a semester off before hopefully attending law school next fall. It is my first semester off in about 6 years! I will definitely enjoy not having classes or doing homework, for a little at least.

Tomorrow, I am having an MRI on my head and neck because of increasing symptoms and pain that I have been experiencing. I have posted about the visual disturbances which would be like seeing through a frosted mirror. At times, I have not been able to focus during these periods in time. First, I went to the ophthmalogist when it originally happened, but structurally everything looked okay. It seemed to ease my mind for awhile, but now it is occurring at a higher frequency which is concerning. After my surgery I started to develop even more unusual symptoms that were not explained as post-op complications. I developed nocturnal enuresis or incontinence which is definitely not typical of a 24 year old. I have been getting increasingly more frequent and severe headaches including light and noise sensitivity. Nausea has returned with a vengeance. My nerves have gone into overdrive as well. I have been also experiencing frequent nose bleeds, but only on my right side. Like most people I tend to hold my stress in my neck and shoulders, but lately it has been severe despite different release and relaxation techniques. Needless to say that an MRI will be helpful in determining if there are any issues with my head, neck, etc.

I saw my PCP yesterday to discuss some of these symptoms and the EDS and she agreed that an MRI was necessary. Typically, a CT w/ and w/out contrast are used, but with my history an MRI was decided would be the best. They also decided that it is time to see a neurologist as well. Chiari Malformation was discussed as a probable cause for my symptoms especially because it occurs at a higher rate in EDSers due to the collagen deficiency. If it is not Chiari, it may be a new onset of migraines which will also need the help of a neurologist. An appointment with a neurologist is long overdue because of all my nerve issues. My PCP also wanted a new blood panel done because it has been close to a year and it will help determine if any of my meds have affected blood counts, thyroid function, etc., and may account for the increased fatigue. I should know my results soon and I hope that these tests will help move us in the right direction.

Other Updates:

*Hips: I still have not heard back from Millis about my 4 month status, but will see my local OS for my 5 1/2 month post-op appointment a week from Friday. The pain in my right hip has still been very intense. I had x-rays done about a week ago and the bone has not completely healed and we may even be dealing with non-union, which would require further treatment to get the bones to fuse. One of the screws in the x-ray seems to even be bowing, which could either be because of the weight allowed on my leg or the non-union or both! I also say a THR doc as an option for the joint pain, but found out because of my FO I would need a custom implant which is $$$$$$ or the femur would need to be re-broke. Neither seems like a legitimate answer. The left hip has been a pain. I am still dealing with the chronic bursitis and it seems to be catching/locking more. It has been compensating for a very long period of time, but we can not address it further until my right hip is stable.

*Left Shoulder/Wrist: My left shoulder has been throbbing lately. It is the arm that is predominantly used with my crutch so that I am properly using my crutches and rehabbing my gait. However, it is a lot of stress on my shoulder. It has been subluxing more and more recently I hyperextended my wrist just doing basic daily tasks. I have been sleeping with my Flector patches on my shoulder which helps with the inflammation, but I will need to make a visit to Methodist Sports Medicine to see an Ortho for my shoulder soon if there aren't any improvements. I have continued to do strengthening exercises, but am getting to the point where I have hit a wall.

*Nerves/CRPS-2: I have had a history with nerve issues that started with nerve entrapments in my legs when I was running prior to my EDS diagnosis. I have had nerve entrapments in my hip, meralgia paresthetica, femoral nerve branch impingement, as well as nerve hypersensitivity and dysfunction classified as CRPS-2/autonomic dysfunction. I had taken Neurontin for an extended period of time and was at a dose of 2800-3200mg a day which at that point becomes ineffective. I then was placed on Lyrica and am at 400mg as well as Cymbalta. I am on numerous pain medications and have had numerous sympathetic blocks and nerve blocks, but we have come to a road block. My pain doc is having a mini team "conference" about a pain plan for me which may include ketamine or lidocaine infusions, medication adjustments, OT, acupuncture, pain counseling, etc. My pain doc right now is leaning towards the ketamine infusion, med adjustment, OT and counseling, but I will know more at my next appointment with him. I have set up a session with OT and a pain psychologist. I have definitely felt defeated over the last couple years, so I am willing to do what is needed to get some relief and some peace.

I have also set a goal for myself to lose 20lbs. I have gained weight since being in Army/ROTC and having numerous surgeries. The surgery/recovery process has token a toll and I am definitely not as "fit" or healthy as I would like to be or need to be. I need to be stronger and get in shape as much as I can with recovering. I have been doing pilates, but need to do more than I have been as well as adding additional low-impact cardio. It will be imperative for future surgeries and recoveries to have more strength otherwise results will not be as good as they can be. I would also like more energy and self-confidence. I have been down about myself and would like to feel better.

I have been looking into more inspirational and spiritual readings, quotes, music to help with my healing process and to help answer some of the questions and struggles I have had for years. I looked up my favorite biblical scripture:

"My peace I leave with you, my peace I give to you. Not as the world gives to you as I give to you. Let not your hearts be troubled, nor let them be afraid." John 14:27


I found this on an EDS support page and found this very inspiring:

To get up in the morning only to know that you have to face another obstacle takes strength. To smile when the only thing you can do is cry takes bravery. To act happy and laugh when you know that times are at their worst takes courage. To be joyous when the only good news is the best of the bad news takes support.
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I want to wish everyone a Happy Thanksgiving and hope that everyone has a great holiday with the ones they love! I am very grateful and thankful for my family, friends and my aussie pup, Chloe. I am truly blessed!

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